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HomeMy WebLinkAboutTR-4997 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4 r f 7 DATE: May 26, 1999 ISSUED TO .u.. ...~.!J.SAN¡¡. FHALIP. BACON Autl1nrt~atintt Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;". and in accordance with the Resolution of The Board adopted at a meeting held onuMay26 ,...J 999 1999., and in consideration of the sum of $ .150.0.0 paid by Samuels & Steelman for. PHILIP & SUSI\NßACQN.. of u.c:;.",tcl:>()g.Ll" N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit : su',;¡\! & PHILIP BACON to ·.:onst.ruct d "et" of b.'dCll :;t~-Lrs \.¡j t.t", plantinys of t.e':;í;h qL'"dSS dnd r-0~d rugosa t,21,'::~J the t,iutf l1rl<c! '.Jith 151) c.y. of LOf-soil placed dt dn:~a-" vi er0510n ,Jilt'. erv.sion c0ntrol jute maLtings. E~istinq black pina5 alony bLuff ta b~ ~cut_da..m and plo.1nteJ ',-lith.beac!-, 'Jras:,; and t.each rose. At top 0t ed in blurf ] rGWS af shure ]unJper to be pldnted along bluff line. iCðtch basin wilh leaching pool 8' in aiameter B (t. higl, pldce~ l3.¡).jward or bluff line .:1.5 sn':;'·"n on dral-..in,] Ifl - slte plan l-,.vl~~,1 JulL' 5.17:9~. GJ"uJIo< Lv Lo¿ ¡,:,j.tChbJ Lv catch tJ<i::iln tv Cat....:t\ rain water rU/lcrt arl~ lea...:h into fJrcund. ; Mre- ¡;~ ;~¡;;~;iI:;:d "'bt;';;;;¡o;~;' ~f th~ ~~id~B~;;:t a'~'~f~ t¡;is-d;~. to (2¿/~7 /~1 9ri~~/ . ~,._,_~p~.t:¿c~"; ...... #...~-~ ..... ..·_--.~-¿-~X-/(u. ~....... . -r';:-7";"::~~.::;'-.-.- .'/~.:~UHOL¡~~" ../~" <..~- ".;". ' ~ -".J. '-, ";.:::a -:.¿., '~Q . ., '~ø a:~ ~ 'ð. ~~,~! ~ ~. ..... .. -'~ ~,<",- ~~-"Q./ + ~~ "ct- ~, ~~'..~)- ~~~,:,:!-~- . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 1, 1999 Samuels & Steelman, Architects Ural Taggert 25235 Main Road Cutchogue NY 11935 Re: SUSAN & PHILIP BACON SCTM #111-9-2 Dear Mr. Taggert, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 26, 1999, regarding the above matter: WHEREAS, Trustees Ordinance 1999 and, SUSAN & PHILIP BACON, applied to the Southold Town for a permit under the provisions of the Wetland of the Town of Southold, application dated March 19, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 26, 1999, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, . . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of SUSAN & PHILIP BACON to construct a set of beach stairs with plantings of beach grass and rosa rugosa below the bluff line with 150 c.y. of topsoil placed at areas of erosion with erosion control jute mattings. Existing black pines along bluff to be cut down and planted with beach grass and beach rose. At top of bluff 3 rows of shore juniper to be planted along bluff line. Catch basin with leaching pool 8' in diameter 8 ft. high placed landward of bluff line as shown on drawing #1 - site plan revised date 5/7/99. Grade to be pitched to catch basin to catch rain water runoff and leach into ground. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete proiect will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, ~ ~ /~ n. Albert J. i~upski, 0r. ~ President, Board of Trustees AJK/djh cc. DEC Dept. of State ACE . . Telephone (516) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Al the meeting of the Southold Town Conservation Advisory Council held Thursday, April 15, 1999 the following recommendation was made: Moved by Richard Smith, seconded by Melvyn Moms, it was RESOL VED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of SUSAN & PHILIP BACON 111-09-02 to construct a set of beach stairs. 3335 Nassau Point Rd., Cutchogue The CAC recommends Approval provided that the Trustees approve the dimensions of the stairs, which were unavailable to the CAe. Vote of Council: Ayes: All Motion Carried . ~ II II M U E L 5 EEL M A . 5 A 5 T & N 2 March, 1999 ~ r'=',~.. ill( :', :,::'_" TOWN OF SOUTH:~j:.. Board of Town Trustees Town of South old Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 RE: Bacon Residence Tax Map # 1000-111-09-02 Dear Trustees: Enclosed please find the WetlandlTrustee Lands Permit application for the property referenced above. The proposed beach stair construction is within 75 feet from the edge of wetlands. In addition please find the following: · Completed General Data Form · One original and two copies of completed Application Form · Notices to adjacent property owners · Proof of Mailing of Notices · Notarized statement · Short Environmental Assessment Form · Three (3) stamped Surveys · Three (3) stamped Site Plans · Application Fee We are requesting a waiver for the following application requirements: · Description of the area from which removal of material is proposed and structures are to be erected · Obtaining all other required permits and approvals prior to application If you have any questions, please do not hesitate to call us. Sincerely, SAMUELS & STEELMAN ARCHITECTS ~~. Tom Samuels Principal Architect ARCHITECTS 25235 ¡\lA.IN ROAD CUTCHOGUE, NEv\.' YORK 1 J935 15161734-6405 FA,\ ¡Slb, 734-640:-' . ~~,,= -rt~"fFOl¡(;~ ,l~~!'[. ~ ~ ~ ¡.~ >¡.,' ~ \ en .. .... ¡lJ4{\~. _,~ . ,~t C:;;;;,' ~~'./.~ -.~.~~!) ~,Y Albert 1. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application ~etland Permit Application Grandfather Permit Application Trustee Lands Permit Application waiver ./ Received APplication:_.)//t)/99 Clerical Review: ~ompleted Application "119199 Incomplete SEQRA Classificati9R: e I Type II ~ Unlisted Coordination: (date sent) CAC Referral sent:__~~~ ate of Inspection: I Receipt of CAC Report: date Lead Agency Determination: Technical Review: (date) .....Public Hearing: (date) II/,J,J/q" Decision: Approved (Y/N) (date) Application Fee:$ . Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 r'.--"-- ." L..~ ¡ I'".,~.; 9 : L___ TOWN OF S\:!!J ii ~ .- Name of Applicant 0\Y.o>AN ¿f Pl-t \ II P P:>A COf\1 Address iQ; RoxWRY f)oAD ~=AP"D~::.N DIll I ~'y' iJ6?;>(J Phone Number: (.5 I (p) 2. c14 - 4-0 I ð Suffolk County Tax Map Number: 1000 - III - OC¡ - 0 2- Property Location: ·~3-¿S NASSAl) POINT' ROAI:\) CUTCrtDSOE CDRNER. N'AŒcAV POINT f'OAh E:\'~ Ot.\) MF-l\IrI ADEN F{7AD (provide LILCO Pole #, distance to cross streets, and location) Agent: -SAMVEL.s .4 8iE:-E:LiV1A~ AF-(..A-tITF.£~F::' [If applicable) Address: :25'2.?:'~ MA-II\,t fflAD} (":'lll~E. , N'1 U:1.3..5 Phone: 51lO -=r34- ~~ 1 >'"._.,.... J- >~~~; .- - ~d of Trustees APPlicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: 1\-40 Previous use of property: V Á¿,A NT' LAN P ßf:CJiTJEN DA L- Intended use of property: Prior permits/approvals for site improvements: Agency -1l\;::....-~ - NÓI\J -ù0RI'SDIGnON t3)J l1\o0D TOW N 1RUST!::ES - N~ R ~fitDL.,D l'DV\JN öl.JX;>. ItRMlr Date ~ I'UJlq-:¡- 7/"L'lð 1- . IÓ/(é¡/qø No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? )i' No Yes If yes, provide explanation: Project Description (use attachments if necessary) :~sffi()(T70N OF N'¡::\'I/ .~:+t <STAIRS tU/-0'" ?L.A-AlðÞt/~f tJ~ ~ Q/USC;<Ø iWf::Æ ,&J,~ #i.ß~) 7¢ ßL#F.r?/A.I£ ûJ/7A /S 0 <::::v.A/c::. V -#2IJ.$ if zqaS-tk'L jJ4IJc.ez> AT ~(!f)/= ,C'72tJs¿d c.//7# b2Ð'ðAU c::.c9.....-?'~ d~72T AlA77¿,c)~~ . .E;>0V/vÇ /JLAc.k.../'lA./L'f A'Í-~ ~~ 70~",c C¿;7 LJ5J?J,,¿J <f' /'C/k<.4µ:J &/7#~(Ô~¢~~."'T?VP¿¡Fd¿q/JC" ,'3~ð/"S~.. ,1Q'.,L!.'Ø7'L w ~ /'~~ --+~4¡ i!3â?/7=";4/"v,Z. C/f2éA Æ/M'/v 6/,/7#, , . A.Þ7 ø/Â. 8r7#A:;.4"~óV~ "'pðc9¿ ÆA:PJ L/1zJ)~ ð~ 13C4'rr4"M A-5 S....y~~ oAJ ,£)~//l/1-# 1-~/7£ ¡:>~1¢ AG0ç,a¡:;J~7£&'¡cG/?/,!¡ -G/M,OE .. r-.7O 8ft /?/7c:dEO ;ë¿) cA7'c#, ð/H'AJ ;ø c/(<<¿y' ~/...u V-J1174L/2q,Æ.Jð/P ,f hf'}1¿tf /N7D úM¿.-0:J 2 ~<i'M-'_'. ....~::--,.;o..., ~._. ~d of Trustees APPlicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~lR~',Oln 1\\ OF tJE~'If 1£Aú1t ~-rAIR Area of wetlands on lot: \¡,A. N,A. square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:~feet Closest distance between nearest proposed structure and upland edge of wetlands: N·A· feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations:~f\e \/ AIN. Manner in which material will be removed or deposited:~ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): 111£ P-- E: W:l,l, bE: NO 8Ff~T , 6 ..:.. '. ...-- .-. . . 14-16-4 (12/97)--Q ¡-ROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SEQR SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: Mun;e, ah '(JTl..ftOS,lJ Coun ..s. 4. PRECISE LOCATION: (Street address and road intersectIons, prominent landmarks, etc., or provide map) NIbSAU YOINT FoAD t\ 6LD !v\EI\JHADa..: P-cAD 5. IS PROPOSED ACTION: . New 0 Ex anSlon 6. 0 SCRIBE PROJECT BRIEFLY: o Modification/alteration ., f£Actt SiAl r<-. 7. AMOUNT OF LAND AFFECTED: 'LJ' I ~L~_ TOWN or ,.,", -' 0t':_r\ 1-' Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? )I Yes 0 No If no, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 'þIt Residential 0 Industrial 0 Commercial 0 Agriculture Describe: o Park/ForesUOpen Space. o Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local)? o Yes ~ No If yes, list agency(s) and permillapprovals 11. DOES ANY A~lCT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? o Yes ""NO If yes, list agency name and permit/approval 12. AS A RESUL! 0/ PROPOSEO ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes Jt. No Applicant/Sponsor Name I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 8/!--uC/ß:...S { g ~44V A/â:2ðr?l!Z7'S Oal. <5 / b . f r Signature If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER . . . -"-.._- LETTER OF AUTHORIZATION Philip J, Bacon Susan J. Bacon 18 Roxbury Road Garden City, NY 11530 516-294-4013 March 2, 1999 We hereby authorize (architect) of SAMUELS & STEELMAN ARCHITECTS to act as our agent in obtaining all permits required by TOWN, SUFFOLK COUNTY and NEW YORK STATE for the construction of our residence at 3335 Nassau Point Road, Cutchogue, N.Y. ~~~. Owner 3/41/99 I Date / /ß-uXL'¡'l . &t([)'Vl Owner D~fi 9? '.- fñ)Œ®Œr:, till) WR~-9 ~ mVV1LO::' . . Albert J. Krupski, President James King, Vice~President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18ft2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of S.Y~_~~h.\t\C)_3-n (' tfl___ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, {¡,/4<k- 7kú/l7 , residing at 43¿, ?/l.E;c~/-!é¥-7 /V Y //7'4f- being duly sworn, depose and say: That on the /~~day Of/~L- , 1991, I personally posted the property known as f3,A~oLJ P/JiJf?l?R.?'/ 3 3 3S p4SSAt-E ffl..u7 /2j) C'¿I7c~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of~~e_.. 6~l&:-~(lttgt) ' ~Wyý\f hearing noted thereon to be held~,l , M~ "lyt'J'/.ø - I Dated: ',./'1 ? ___~ ~ , ie..~¿ --~:~>~ ·r·· ( signature) ..; 6 Sworn to before me & I day of AFrì \ ~[J ~ No ry PUbl1.C~ this 19 99 J'~,!E E. SAYRE . ....." 'M"_ ~''''g cl tI:'ItY'IIIt ~ ··.....1 I "'~-~I 0...... ~~I). 494e~'J.Ij ~.;:::::~ :n Guffolk C¡;amy - ·:;.-.:,.¡J~n r:r..~s3('o(~O'> I . . ~--_. I NOTICE TO ADJACENT PROPERTY OWNER !. BOARD OF TRUSTEES, TOWN OF SOUTHOLD ·FHIUP ~: SVSAI\\ BAé hl\ SCTM#lOOO- ¡~ L-- TOWN OF SOUTH:_~ . LI - OC¡....:::..(¿'1- In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: c..::'I¥":~w,U0;r N-E.~\¡' ~ ~{~Ip.. 2. That Review is follows: the property which is the subject of Environmental located adjacent to your property and is described as ~~35 NA~:AU PoINT BDA:D 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: PItIU~ ~ ~USA~ ~oN MAILING ADDRESS: F\ X~~ '-{ FOAb ,~AADË~' 0rr¡6 ~y 5?:,O PHONE II: "VI- - I Ene.: Copy of sketch or plan showing proposal for your convenience. -' BO~ of Trustees APplication4IÞ County of Suffolk State of New York - /Å-Dn'l â S C _ Sa. tcz,U¿ € t..s !3EING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THI:; APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD, OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT ( S) OR REPRESENTATIVES ( S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~Q~1U<-fX Signature SWORN TO BEFORE ME THIS \Ì-DAY OF rrìû.rc..h ,19TI +N~td~c JUNE E. SAYRE ~ Pub!!Ð. StÐle 01 NftYIIk No. 49485O'S QuaIi1Ied In SuIIoIt CGIIdY ()o¡MIJi 'DllEØ8& 3(J.4?? 3 ..__~.. ...' "t.I- - . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda ,c<~\ffFoL~~ .'.'f~.~~ ,;f§ ~>'" '1:::0 ~" ..' = ... ,. '\ . N '.~ en .;z t,! .~ ~ ~ y \é::>. ~tI "'. ~'O ~~'t- j! ~.:! . i'c,:c~v --c-~-;:f~ Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18!¡2 Fax(516ì 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of ~U ~ð/JL ~ _P./:lL?:Jf?__ J~!1~º¡J COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ¿//2A-r:.- 7~7, residing at 43C:. 7¡1t y~l é//J7l:iU/èµ~ A-J V being duly sworn, depose and say: That on the J. 0> day of (Y)Q.1' 1999, I personally posted the property known as 6.-1t:c9"v ~~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held Mllj ólt, ¡'It, DN oft. A&:J().-r 7:rrp.f;t. Dated: (Y)0'-j .;2«0. \c¡qc¡ //~ /7.7 7 Lh~· ¿;£~-- (signature ¡-./ - /' Sworn to before me this ;;1.<"" day of mct'i 199 q ~ ~ -~ªð~ Nary Public J\:~.~~~ Eo n;s: n: /"':rr ¡:.:l.... '1~, r:~o c~ !,!~~.~ V~!~ . - ~ t·b. ~~j('lC~S .,.. :~,~ '..' :.ò1Uolk~ . . ~.;;:¡;rn¡ !;:...lret 3/,;)..)/ de):) I . . A. DOES ACTION ExCeED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617.4? o Yes ....~ No If ves, coordinate the review orocess and use the FULL EAF. e. WILL ACTIO~~EIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.6? o Yes No If no. a "eaative declaration ma" be sunerseded bv another involved arlencv. C. COULD ACTIO,"" RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, if legible) C1. Existing alf quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns. solid waste production or disposal; potential lor erOSion. draInage or flooding problems? Explain briefly: AJ , C2. Aesthetic. agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly: )J 0 ca. Vegetation or fauna. fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: N () C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: ¡J () C5. Growth, subsequent development, d related activities likely to be induced by the proposed action? Explain briefly: N Ù C6. long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: ,.J ð C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: Nd tJ t~ D. Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CEA? DYes o No E. IS THERE. O~ THERE UKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? o Yes No If yes, explain briefly PART II-ENVIRONMENTAL ASSESSMENT (To be completed by Agency) PART II-DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether It is substantial. large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (I,e.. urban or rural); (b) probability of occurring; (C) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question 0 of Part II was checked yes, the determination and sig- nificance must evaluate the potential impact of the proposed action on Ihe environmental characteristics of Ihe CEA. o Check this box if you have identified one or more potentially large and significant adverse impacts which may occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. , Check this box if you have determined, based on the information and analysis above and any supporting documentation. that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: 5:ð U7t/ol.'tJ e; Print or Type Name or Responsible Officer in Lead -rl! /{J" r e-t:S Name of Lead Agency ~~~(ð€"A/ Title of ResPonSible Officer Signature of Responsible Officer in Lead Agency l(- ¡'I-t'f 9 Date Signature of Preparer (If different from responsible officer) >- <: "," « lo:!:: ~ U" ~ ----- Q) -.I <:0 (¡) a -q: lo,j", '-' ~loQ<: 0) CO t'j a\!j(Jj" ï~1 'It ~ [~~.~ 0) g <: 0) !, « II..lo>-," .- I Q2 ',.- ~ «(fj,..J~ _J Q: ~- Q) '\.-.:.J ~ tJ 10 Z @J '" at'j~:!:: . _ .'-0 0) L " " ~ It.-q:~," ,c~,i :Jè -J c( lo ",I.( ~ CJj ~ Q~lo_ , I >.: ¡:: Q:(¡¡ï3~ I~L ~ 2§~~", ~ <:(¡¡ (fj.~ I~O « ~1J...~'6 I- -.I "'Olt.:5 <:<:::r: II> <: \I) <> oaf...: :!::o::t" -,-,'-'-.II() 2~~L3:£ ,¡:;~~:!::t =¡~~~.g C) .-;""a [1:).:. 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